Facility Evaluation Report

On April 24, 2023, Licensing Program Analyst (LPA), Venus Mixson arrived to the facility unannounced in order to conduct the required annual inspection. LPA Mixson met with Administrator, introduced self, stated the purpose of the visit, and toured the facility inside and out. The facility is a single story home, currently there are no residents residing in the home. There are six staff associated to the facility. Currently only the Administrator is present.

The facility has five bedrooms and two a half baths. There a single kitchen, dining room and living room, two car garage and a back yard.

Physical Plant: The physical plant, was in good repair. The buildings and grounds were free from hazards. Outdoor and indoor passageways were free of obstruction during this visit. Resident bedrooms have the required bedding and furniture; such as clean mattresses, night stands, storage space, and sufficient lighting. Room temperatures were comfortable although there were no residents in care. The Administrator tested the hot water temperature in the restroom, in which the bathroom sink faucet tested within the required regulation. The restrooms were equipped with non-skid surfaces and grab bars. All resident bedrooms were equipped with the required items. LPA Mixson toured the kitchen and dining area. The facility had a menu posted and available for review it. Kitchenware was in good condition and stored safely. Emergency food and water were also observed. LPA Mixson inspected the common areas. Smoke detectors are hard wired were tested. The fire extinguisher was in the green, and last tested on 02/14/2023, by Elite Fire Protection company. Carbon monoxide alarms were observed. There was a locked and centralized storage area for medications. Medications will be ordered through a pharmacy that utilizes bubble packs. The facility had a designated area for resident and staff files. Emergency disaster plans, personal rights, and complaint procedures were posted in a prominent area. There was adequate seating in the common areas and sufficient space for activities. LPA Mixson observed a monthly activity calendar. LPA Mixson reviewed six staff files and 0 resident files, and interviewed the Administrator. There were no regulation violations observed currently.

An exit interview was conducted and a copy of this report was provided to Administrator.